Ira M. Thal, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD044987L Issued in PA

Legal business name

IRA M. THAL, MD, PC

Practice address

255 W Lancaster Ave
Suite 202
Paoli, PA 19301-1763

Phone

(610) 647-5544

Fax

(610) 647-5545

NPI assigned

Nov 6, 2007

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ira Mervyn Thal, MDNPI 1881621878

Title

President

Phone

(610) 647-5544

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Ira M Thal MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ira M Thal, MD, PC

  • Internal Medicine Physician
  • West Chester, PA
  • NPI 1245778786
  NPD tax ID

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ira Mervyn Thal, MD

  • Internal Medicine Physician
  • West Chester, PA
  • NPI 1881621878
  Medicare reassignment Care Compare group NPD Authorized official
• Wendy Susan Hill Thal, CRNP

  • Nurse Practitioner
  • West Chester, PA
  • NPI 1518037670
  Medicare reassignment Care Compare group NPD
• Lynne Ellen Abramowitz, CRNP

  • Family Nurse Practitioner
  • Greensboro, NC
  • NPI 1043363534
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1396925467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "address_2": "SUITE 202",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-647-5544",
            "fax_number": "610-647-5545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "address_2": "SUITE 202",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-647-5544",
            "fax_number": "610-647-5545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRA M. THAL, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "THAL",
        "authorized_official_first_name": "IRA",
        "authorized_official_middle_name": "MERVYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-647-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD044987L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0560080000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4339125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "TH1413362",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110241724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "1413362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara P Hughes, MD
• Thomas Hughes, MS, LBS
• Janet Hummel, LCADC
• Megan Iannozzi, MS
• Impact Systems Inc.
• Rodney Isaacs, MHS
• Gerald A. Isenberg, M.D.
• Benjamin Jacobs, M.D.
• Irene Jacobs, MSW
• Ajit Sivananda Jada, M.D.

• Internal Medicine Physician in Paoli, PA
• Providers in Paoli, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.